Individual
DALE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2405 S CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 618-1888
(254) 519-5264
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
T41-2009
TX
Other
Enumeration date
08/04/2009
Last updated
09/30/2020
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